| NPI | 1912307208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAGED M ESTAFAN Owner 951-302-7085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA c52942) |
| Enumeration Date | 2014-08-25 |
| Last Update Date | 2015-02-05 |